| Blue Heron Counseling Llc | |
|
1720 Peachtree St Nw Ste 510 Atlanta GA 30309-2462 | |
| (404) 797-3292 | |
| Not Available |
| Full Name | Blue Heron Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1720 Peachtree St Nw Ste 510, Atlanta, Georgia |
| Authorized Official Name and Position | Patricia Natanagara (OWNER) |
| Authorized Official Contact | 4047973292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Heron Counseling Llc 928 Sycamore Dr Decatur GA 30030-1641 Ph: (404) 797-3292 | Blue Heron Counseling Llc 1720 Peachtree St Nw Ste 510 Atlanta GA 30309-2462 Ph: (404) 797-3292 |
| NPI Number | 1295439016 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295439016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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